SELF-ADAPTIVE CARE PLAN GOAL MODULES

• US 20110161107A1
• Filed: 01/02/2007
• Published: 06/30/2011
• Est. Priority Date: 04/07/2006
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Ryan, John, Simms, Daniel, Goldberg, Neal
• Granted Patent: US 10,115,172 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A goal module (78, 198, 298) includes one or more content sessions (80, 82, 200, 202, 204, 224, 300, 318) cooperatively directed toward achieving a projected health management goal. At least one feedback path (48, 86, 140, 142, 210, 234, 312, 322, 410) provides at least one input indicative of a trend in a patient progress toward achieving the projected health management goal. A care plan manager (84) dynamically configures or modifies at least one of the goal module (78, 198, 298) and content sessions (80, 82, 200, 202, 204, 224, 300, 318) based at least on the one input and intervention rules so that the patient'"'"'s progress toward the projected health management goal is optimized.

Claims

1. A health management system comprising:

a goal module, including a plurality of audio/visual content sessions cooperatively directed toward achieving a projected health management goal of a user;

at least one feedback path providing inputs indicative of patient progress toward achieving the projected health management goal, the feedback path including;

a biometric device which inputs physiological parameter measurement acquired by the biometric device, and

a survey, quiz, test, or questionnaire including at least one question presented by a user interface to test the user'"'"'s comprehension of one or more preceding audio/visual content sessions, the inputs including user responses via the user interface; and

a care plan manager, which dynamically configures, modifies, or reorders the audio/visual content sessions based on the physiological parameter measurements input by the biometric device, the user'"'"'s comprehension of the audio/visual content sessions input by the user interface, and intervention rules so that the patient'"'"'s progress toward the projected health management goal is optimized.

2. The health management system as set forth in claim 1, further including:

an analyzing algorithm which analyzes the trends of the user in response to the reconfiguration or modification of the audio/visual content sessions and wherein, based on the analysis, the care plan manager at least one of changes an order of the audio/visual content sessions and adds one or more audio/visual content sessions directed toward the health management goal.

3. The health management system as set forth in claim 1, wherein the audio/visual sessions include motivational and educational video presentations personalized to the user.

4. The health management system as set forth in claim 1, wherein the survey is sent to a family member to be completed by the family member.

5. The health management system as set forth in claim 1, wherein the intervention rules include:

the physiological parameter measurement value being at or beyond a predetermined threshold;

an answer to the survey matching a preselected criteria;

the physiological parameter measurement value matching a preselected criteria; and

the physiological parameter measurement value being beyond a dynamic threshold based on a prior measurements of the physiological parameter.

6. The health management system as set forth in claim 1, further including:

a plurality of goal modules assigned to a patient, wherein the care plan manager adds, deletes, modifies, and reorders the audio/visual content sessions of the goal modules.

7. The health management system as set forth in claim 6, wherein the care plan manager one of:

performs changes to the goal modules or content sessions automatically,

contacts a health care plan planner, and

based on a pre determined criteria, one of performs changes to the goal modules or content sessions automatically and contacts a heath care plan planner.

8. The health management system as set forth in claim 7, wherein the contact of the planner includes at least one of:

submitting recommended changes to the planner for pre approval; and

indicating a condition based on the one input.

9. The health management system as set forth in claim 8, wherein the contact of the planner further includes:

a notification to the planner indicating a priority status for the change.

11. The health management system as set forth in claim 1, further including:

a user interface configured for presenting the audio/visual content sessions; and

a server storing (i) the goal modules, and at least one patient profile indicating at least which goal module or goal modules are assigned to a patient profiled by the at least one patient profile,

wherein a computer embodies at least the server, the user interface, and an intervention rules engine, and

wherein the at least one patient profile consists of exactly one patient profile.

12. The health management system as set forth in claim 1, further including:

a user interface configured for presenting the audio/visual content sessions; and

a server storing (i) the goal modules, and at least one patient profile indicating at least which goal module or goal modules are assigned to a patient profiled by the at least one patient profile,

wherein the at least one patient profile includes a plurality of patient profiles, and the server communicates with user interfaces associated with a plurality of different patients, each patient being profiled by a corresponding patient profile.

10. (canceled)

13. A health management system comprising:

a goal module including one or more content sessions cooperatively directed toward achieving a projected health management goal;

at least one feedback path providing at least one input indicative of a trend in patient progress toward achieving the projected health management goal;

a care plan manager which dynamically configures or modifies at least one of the goal module and content sessions based at least on the one input and intervention rules to that the patient'"'"'s progress toward the projected health management goal is optimized;

a user interface configured for presenting the content sessions, wherein the user interface includes a television set on which the content sessions are displayed, and the at least one feedback path includes a television remote; and

a server storing (i) the goal modules, and (ii) at least one patient profile indicating at least which goal module or goal modules are assigned to a patient profile by the at least one patient profile.

14. A health management system comprising:

a care plan server communicating with a plurality of patients, the care plan server storing at least;

a plurality of content sessions directed toward achieving a health management goal, and

a plurality of patient profiles each corresponding to a respective patient; and

a care plan manager configured to control presentation of the content sessions to each patient based on;

at least one feedback input from the patient and intervention rules, and

the patient achieving each of a plurality of designated mile posts toward achieving the health management goal.

15. The health management system as set forth in claim 14, further including:

an analyzing algorithm which continually analyzes the feedback inputs from individual patients in response to the presentation of the content sessions and wherein, based on the analysis, the care plan manager reconfigures an order of the content sessions directed toward a particular health management goal.

16. The health management system as set forth in claim 14, wherein the content sessions include audio/video presentations designed to motivate each patient to achieve the health management goal.

17. A health management system including:

a host center which includes the care plan server as set forth in claim 14; and

a plurality of patient stations each connected with the host center to generate and provide the at least one feedback causing the care plan manager to select which of a plurality of available content sessions are presented and repeated in accordance with the provided feedback.

18. (canceled)

20. The health management system as set forth in claim 18, wherein the one input is generated by a biometric monitoring device.

21. The health management system as set forth in claim 20, wherein the processor is further programmed to:

generate a survey in response to the trend in the one input; and

send the survey to a display device of a third party.

22. The health management method as set forth in claim 20, wherein the trend includes at least one of:

a physiological parameter measurement value beyond a predetermined threshold;

an answer to the survey which matches a preselected criteria;

a physiological parameter measurement value which matches a preselected criteria;

a physiological parameter measurement value beyond a dynamic threshold based on a prior measurement of the physiological parameter; and

deviation between a measured physiological parameter trend and a target physiological parameter trend.

19. A health management system comprising:

one or more processors programmed to;

electronically receiving at least one input from a patient indicative of a trend in patient progress toward achieving a health management goal;

automatically electronically configuring or modifying a plurality of content sessions which make up a goal module based on intervention rules;

analyzing the trends from the patient in response to the presentation of the content sessions; and

based on the analysis, reconfiguring the content sessions of the goal module directed toward a particular health management goal to improve achieving the particular health management goal; and

a display on which the content sessions are displayed to the patient.

23. A health management method comprising:

providing a care plan to a cable or set top box of a patient, wherein said care plan includes one or more goal modules, each containing a plurality of audio/video content sessions which are presented to the patient on an audio/video display device connected with the cable or set top box;

electronically receiving feedback from the patient via the cable or set top box; and

with a processor, generating a behavioral model and using the feedback received from the patient as an input to the behavioral model, wherein the behavioral model tracks the patient'"'"'s progress within one or more of the goal modules.

24. The health management method of claim 23 wherein the behavioral model determines a current stage in each of the goal models to which the patient has progressed.

25. The health management method of claim 24 further comprising:

with the processor, reporting the stages to a display device of a care provider.

26. The health management method of claim 23 further comprising:

with the processor, changing the audio/video content sessions in response to the patient processing from a current stage to another stage.

27. The health management method of claim 23 further comprising:

with the processor, automatically electronically configuring or modifying at least one of goal modules and content sessions based on an output from the behavioral model.

28. A health management method comprising:

providing a patient with a care plan including one or more goal modules, each goal module comprising a plurality of content sessions;

with a processor, interleaving content sessions of the goal modules and forwarding the interleaved content sessions to a user display device;

with the processor, electronically receiving feedback from the patient;

with the processor, using the feedback received from the patient to assess a stage of one or more goal modules;

with the processor, in response to the received feedback and the assessed states, reordering or replacing at least one of the content sessions forwarded to the patient.

29. The health management method as set forth in claim 28 wherein the stages for each of the goal modules are assessed based on a common stage continuum.

30. The health management system as set forth in claim 28 wherein a behavioral model is used by the processor to access the stage of the one or more goal modules.

31. The health management method as set forth in claim 30 wherein the processor automatically electronically configures or modifies at least one of goal modules and content sessions based on an output from the behavioral model.

32. The health management method as set forth in claim 28 wherein the content sessions include video presentations configured to motivate the patient to a goal of the goal module.